Moon, Jennifer

Moon, Jennifer is an individual health care provider with primary practice located at 703 Se 1St Ave , Canby OR 97013-3849. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moon, Jennifer can be contacted via phone (503) 266-7686.

Contact Information

Primary practice address
703 Se 1St Ave Canby OR 97013-3849
Phone: (503) 266-7686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201707373NP-PP Oregon

Profile Details

NPI number 1073051736
LBN Legal business name Moon, Jennifer
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2017
Last updated Sep 13th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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